delete The National Health Service (Performers Lists) Amendment Regulations 2006
Amendment to NHS Performers Lists Regulations 2004, applicable to England only. Modifies suspension provisions to treat suspended performers as still included in their original list when applying to another list. Also amends medical performer list rules to allow post-registration supervised clinical practice doctors to perform primary medical services in PCT areas, subject to 24-hour notice requirements and evidence provision conditions.
The 24-hour advance notification requirement and the vague standard for PCTs to be 'satisfied itself' through provided evidence create arbitrary bureaucratic friction that could be used to impede practitioner mobility unnecessarily. More significantly, restricting post-registration doctors to performing services 'only in so far as' they form part of an approved supervised program limits medical service supply at a time when workforce constraints are severe. Such supply restrictions on qualified medical practitioners ultimately harm patients by reducing available care options and distorting the market for medical services. The regulation's approach assumes PCT oversight is necessary for post-registration supervised practice when less restrictive alternatives (e.g., simple registration, automatic conditions) could achieve legitimate safety objectives at lower cost.